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Conduct and antisocial disorders

Participants: Eva Billstedt, Björn Hofvander, Henrik Anckarsäter, Christopher Gillberg, Carina Gillberg, Peder Rasmussen, Christina Kadesjö & Björn Kadesjö.

In a population based longitudinal prospective study of ADHD (with or without motor difficulties and compared with a group of individuals without ADHD) with a follow-up (blind with regard to the original diagnosis group) from 6-22 years of age, antisocial personality disorder, alcohol addiction, and criminal behaviour were shown to be overrepresented. This was particularly clear among the group who also had motor difficulties when compared with a matched control group.

In a cross-sectional study on preschool children with ADHD, 60% were found to have ODD (Oppositional Defiant Disorder), a known additional risk factor for antisocial development. ODD was almost exactly as common in ADHD independent of whether children were 3, 4, 5, 6 or 7 years at the time of diagnosis.

The project ”DIS-CAT 2.0” is a study of young men (18-25 years) convicted of violent and sexual crimes who, at the time of participating in the study, were serving time at a prison in Region Väst, Sweden. Excluded from the study were those whose participation would require an interpreter. Those who consented to participate in the study were subjected to clinical assessments in accordance with a structured assessment protocol including diagnostic assessment, self-assessment questionnaires (TCI, WURS, The Neuropsych Questionnaire), neuropsychological assessment (General Ability Index in WAIS-III, CANTAB), and interviews with parents and genetic examination. The aim of the study is to describe the prevalence of ESSENCE (ADHD, autism spectrum disorders, tics, motor difficulties, cognitive problems, learning difficulties and learning disabilities) and other psychiatric disorders within this group as well as identifying the covariance of problems and needs for interventions and treatments.

The project is carried out by the research group Forensic Psychiatry at Sahlgrenska Academy, University of Gothenburg and Lund University and is largely financed by the Swedish Prison and Probation Service. The project is led by psychologists Björn Hofvander at Lund University and by Eva Billstedt at GNC, University of Gothenburg.


Johnsson M, Andersson, B, Wallinius. M., Hofvander, B., Ståhlberg O., Anckarsäter, H.,Billstedt E, Radovic, S. (2014). "Blame attribution and guilt feelings in violent offenders". Accepted in Journal of Forensic Psychiatry and Psychology.

Allely, C.S., Purves, D., McConnachie, A., Marwick, H., Johnson, P., Doolin, O., … Wilson, P. (2013). Parent-infant vocalisations at 12 months predict psychopathology at 7 years. Research in Developmental Disabilities, 34, 985-993.

Latimer, K., Wilson, P., Kemp, J., Thompson, L., Sim, F., Gillberg, C., … Minnis, H. (2012). Disruptive behaviour disorders: a systematic review of environmental antenatal and early years risk factors. Child: Care, Health and Developmental, 38, 611-628.

Hofvander, B., Ståhlberg, O., Nydén, A., Wentz, E., degl'Innocenti, A.,, Billstedt, E., … Anckarsäter H. (2011). Life History of Aggression scores are predicted by childhood hyperactivity, conduct disorder, adult substance abuse, and low cooperativeness in adult psychiatric patients. Psychiatry Research, 185, 280-285.

Thompson, L., Kemp, J., Wilson, P., Pritchett, R., Minnis, H., Toms-Whittle, L., … Gillberg, C. (2010). What have birth cohort studies asked about genetic, pre- and perinatal exposures and child and adolescent onset mental health outcomes? A systematic review. European Child & Adolescent Psychiatry, 19, 1-15.

Wilson, P., Minnis, H., Puckering, C., & Gillberg, C. (2009). Should we aspire to screen preschool children for conduct disorder? Archives of Disease in Childhood, 94, 812-816.

Kadesjö, C., Hagglöf, B., Kadesjö, B., & Gillberg, C. (2003). Attention-deficit-hyperactivity disorder with and without oppositional defiant disorder in 3- to 7-year-old children. Developmental Medicine and Child Neurology, 45, 693-699.

Kadesjö, C., Kadesjö, B., Hagglöf, B., & Gillberg, C. (2001). ADHD in Swedish 3- to 7-year-old children. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 1021-1028.

Rasmussen, P., & Gillberg, C. (2000). Natural outcome of ADHD with developmental coordination disorder at age 22 years: a controlled, longitudinal, community-based study. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1424-1431.

Page Manager: Anna Spyrou|Last update: 1/22/2015

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